Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study

초록

Aim To investigate readmission rate and its association with patient characteristics to identify key risk factors associated with unplanned readmission in 1 year after heart transplantation. Background Unplanned readmission after heart transplantation due to complications affects patients' quality of life and long-term survival rate. Design A retrospective cohort study. Methods Individual, disease-related and therapeutic characteristics were included from electronic medical records. Participants were 484 adult patients who underwent heart transplantation between 1992 - 2016 at a tertiary hospital in Korea. Results A total of 204 patients underwent unplanned readmission. The most frequent causes were infection or rejection. Multivariate analysis revealed hypertension and pre-operative estimated glomerular filtration rate to be risk factors for unplanned readmission. Conclusion Early screening educational programs and interventions based on recommended risk factors are needed to reduce the unplanned readmission rate of heart transplantation patients. Impact Nurses who care for heart-transplanted patients should initially assess risk factors during the postoperative and recovery periods to reduce risk of readmission following surgery. These findings may contribute to early assessment criteria and development of discharge nursing education materials.

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